| NPI | 1821094285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN DELL HYDE VP 662-843-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 06166/11.1) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2023-07-18 |